Individual
DR. PAWEL GREGORZ KAROLCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 977-4719
Mailing address
907 EAST LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804
(865) 977-4719
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29744
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3819874
—
TN
05
—
3819875
—
TN
01
—
4116675
BLUE CROSS
TN
01
—
4153906
BLUE CROSS
TN
01
—
P00322440
RAILROAD MEDICARE
TN
Enumeration date
06/02/2006
Last updated
12/22/2008
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